Trippi, John Pine View Cemetery $ Crematorium
Quaker Road
Queensburyl NY 12604
(5'I6) 745-4477 or (51 R) 745-4476
FUNERAL NOME:
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-._ . ._ _. RETURN TIME DATE A TIME REMAINS ARRIVED AT CREMATORY'
NAME OF rUNERA1 DIRECTOR OR RECRISTERED RESIDENT DE4VE)RIN REMA .-
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ESTIMATED WEIGHT OF REMAINS CONTAINER
PLACED IN HOLD'
PLACED IN REFRIGERATION
DATE OF CREMATION-
TIME STARTED: lip
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RETORT II IN µRICH REMAINS WERE CREMATED; _ _ - Qi�- -
DETAILED REASON FOR DELAY IF REMAINS WERE CREMATED MORE THpry Q 51 14N HOUR
FROM TIME OF ACCEPTED DELIVERY: HOURS
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